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渐进性康复护理对乳腺癌改良根治术后患者生活质量、自我护理能力及心理状态的影响及实施效果

The Implementation and Effectiveness of Progressive Rehabilitation Nursing on Quality of Life, Self-Care Ability, and Psychological Status in Patients with Breast Cancer after Modified Radical Mastectomy.

作者信息

Wei Minxia, Zhang Liqun, Xu Juan, Chen Yuanfei

出版信息

Altern Ther Health Med. 2025 May;31(3):65-71.

PMID:38758147
Abstract

OBJECTIVE

To evaluate the implementation and effectiveness of progressive rehabilitation nursing in patients undergoing modified radical mastectomy for breast cancer.

METHODS

A total of 70 patients undergoing modified radical mastectomy for breast cancer in our hospital were selected as the research subjects, and they were randomly divided into a control group and an observation group, with 35 patients in each group. The control group received routine rehabilitation nursing intervention after surgery, while the observation group received progressive rehabilitation nursing intervention based on the control group's nursing. The quality of life, self-care ability, mental state, and incidence of complications were compared between the two groups.

RESULTS

Before the intervention, the two groups had no significant difference in the quality of life (P > .05). After the intervention, the quality of life in the observation group was significantly better than that in the control group (P < .05). Before the intervention, the two groups had no significant difference in the self-care ability (P > .05). After the intervention, the self-care ability in the observation group was significantly better than that in the control group (P < .05). Before the intervention, the two groups had no significant difference in the SAS and SDS scores (P > .05). After the intervention, the SAS and SDS scores in the observation group were significantly lower than those in the control group (P < .05). The incidence of complications in the control group was 22.86%, while that in the observation group was 5.71%. The incidence of complications in the observation group was significantly lower than in the control group (P < .05).

CONCLUSION

Compared with routine nursing intervention, the implementation of progressive rehabilitation nursing intervention can further improve the quality of life, self-care ability, and mental state of patients undergoing modified radical mastectomy for breast cancer and reduce the risk of related complications, which helps promote the recovery process of patients and is worthy of clinical promotion and application.

摘要

目的

评估渐进性康复护理在乳腺癌改良根治术患者中的实施情况及效果。

方法

选取我院70例行乳腺癌改良根治术的患者作为研究对象,将其随机分为对照组和观察组,每组35例。对照组术后接受常规康复护理干预,观察组在对照组护理的基础上接受渐进性康复护理干预。比较两组患者的生活质量、自我护理能力、心理状态及并发症发生率。

结果

干预前,两组患者生活质量差异无统计学意义(P>0.05)。干预后,观察组生活质量明显优于对照组(P<0.05)。干预前,两组患者自我护理能力差异无统计学意义(P>0.05)。干预后,观察组自我护理能力明显优于对照组(P<0.05)。干预前,两组患者SAS和SDS评分差异无统计学意义(P>0.05)。干预后,观察组SAS和SDS评分明显低于对照组(P<0.05)。对照组并发症发生率为22.86%,观察组为5.71%。观察组并发症发生率明显低于对照组(P<0.05)。

结论

与常规护理干预相比,实施渐进性康复护理干预可进一步提高乳腺癌改良根治术患者的生活质量、自我护理能力和心理状态,降低相关并发症风险,有助于促进患者康复进程,值得临床推广应用。

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